T2 GTN Operative Technique - Stryker

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Introduction Instrument Features A major advantage of the instrument system is a breakthrough in the integration of the instrument platform which can be used for the complete <strong>T2</strong> Nailing System, thereby helping to reduce complexity and inventory. The instrument platform offers advanced precision and usability, and features ergonomically styled targeting devices. Symbol coding on the instruments indicates the type of procedure, and dissimilar instruments must not be mixed. Symbol Square = Long instruments Triangular = Short instruments Drills Drills feature color coded rings : 4.2mm = Green For 5.0mm Fully Threaded Locking Screws and for the second cortex when using 5.0mm Partially Threaded Locking Screws (Shaft Screws). 5.0mm = Black For the first cortex when using 5.0mm Partially Threaded Locking Screws (Shaft Screws). References 1. 2. T. E. Richardson, M. Voor, D. Seligson, Fracture Site Compression and Motion with Three Types of Intramedullary Fixation of the Femur, Osteosynthese International (1998), 6: 261-264 Hutson et al., Mechanical Failures of Intramedullary Tibial Nails Applied without Reaming, Clin. Orthop. (1995), 315: 129-137 3. 4. 5. M.E. Müller, et al., Manual of Internal Fixation, Springer-Verlag, Berlin, 1991 O. Gonschorek, G. O. Hofmann, V. Bühren, Interlocking Compression Nailing: a Report on 402 Applications. Arch. Orthop. Trauma Surg (1998), 117: 430-437 Mehdi Mousavi, et al., Pressure Changes During Reaming with Different Parameters and Reamer Designs, Clinical Orthopaedics and Related Research, Number 373, pp. 295-303, 2000 6. 7. Axel Baumann, Nils Zander, Ti6Al4V with Anodization Type II: Biological Behaviour and Biomechanical Effects, White Paper, March 2005. Jan Paul M. Frolke, et al. ; Intramedullary Pressure in Reamed Femoral Nailing with Two Different Reamer Designs., Eur. J. of Trauma, 2001 #5 6
Indications, Precautions & Contraindications Indications • Open and closed femoral fractures • Pseudarthrosis and correction osteotomy • Pathologic fractures, impending pathologic fractures and tumor resections • Ipsilateral femur fractures • Fractures proximal to a total knee arthroplasty • Non-unions and mal-unions Precautions <strong>Stryker</strong> Osteosynthesis systems have not been evaluated for safety and use in MR environment and have not been tested for heating or migration in the MR environment, unless specified otherwise in the product labeling or respective operative technique. Contraindications The physician’s education, training and professional judgement must be relied upon to choose the most appropriate device and treatment. Conditions presenting an increased risk of failure include: • Any active or suspected latent infection or marked local inflammation in or about the affected area. • Compromised vascularity that would inhibit adequate blood supply to the fracture or the operative site. • Bone stock compromised by disease, infection or prior implantation that can not provide adequate support and/or fixation of the devices. • Material sensitivity, documented or suspected. • Obesity. An overweight or obese patient can produce loads on the implant that can lead to failure of the fixation of the device or to failure of the device itself. • Patients having inadequate tissue coverage over the operative site. • Implant utilization that would interfere with anatomical structures or physiological performance. • Any mental or neuromuscular disorder which would create an unacceptable risk of fixation failure or complications in postoperative care. • Other medical or surgical conditions which would preclude the potential benefit of surgery. 7
Page 1 and 2: Femur T2 GTN KnifeLight Greater Tro
Page 3 and 4: Contents Page 1. Introduction 4 Imp
Page 5: Introduction Nails Diameter Sizes 8
Page 9 and 10: Pre-operative Planning An X-Ray Tem
Page 11 and 12: Operative Technique Entry Point The
Page 13 and 14: Operative Technique The Guide Wire
Page 15 and 16: Operative Technique Guided Locking
Page 17 and 18: Operative Technique Note: A chamfer
Page 19 and 20: Operative Technique Fig. 30 Fig. 29
Page 21 and 22: Operative Technique End Cap Inserti
Page 23 and 24: Operative Technique External Apposi
Page 25 and 26: Operative Technique Internal Apposi
Page 27 and 28: 27 T2 FeMur GTN (LeFT) Length mm 24
Page 29 and 30: Ordering Information - Implants 5MM
Page 31 and 32: Ordering Information - Instruments
Page 33 and 34: Ordering Information - Instruments
Page 35 and 36: Notes 35

T2 GTN Operative Technique - Stryker

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